FORM_HCA_01 — HSQE Culture Audit Record¶
Document Information
| Field | Value |
|---|---|
| Document Reference | FORM_HCA_01 |
| Issue Number | 1 |
| Issue Date | 22 September 2026 |
| Next Review | 22 September 2027 |
| Controlled By | Sean Ashton (HSQE Consultant) |
| Approved By | Aaron Mason, Director |
Download this form
The page is the canonical record. The Word document is the same content as a downloadable snapshot — use it for printing and carrying round the office.
Programme, method and register of cycles: APP_27 — HSQE Culture Audit Register
A director must be present for the whole audit
That is not a formality. The reason this audit exists is that AMWS scrutinises its site work and has never scrutinised the office. A director walking their own workplace under audit is the evidence of commitment — an audit run by the consultant alone is just another inspection.
Cycle details¶
| Field | Entry |
|---|---|
| Cycle | Q 20 |
| Date | ___ / ___ / 20___ |
| Auditor | |
| Director present | |
| Others spoken to | |
| Start / finish time |
Half one — conformity¶
Twelve checks. Look, do not ask. Anything that fails gets a finding, an owner and a date at the bottom of this sheet.
| # | Check | Pass | Fail | N/A | Notes |
|---|---|---|---|---|---|
| 1 | Notice board is current — the three compliance notices up, in date, not superseded | ☐ | ☐ | ☐ | |
| 2 | Policies displayed — signed H&S policy on display, dated within 12 months | ☐ | ☐ | ☐ | |
| 3 | Fire log up to date — alarm test, emergency lighting, last drill recorded | ☐ | ☐ | ☐ | |
| 4 | Fire extinguishers and blanket in date — service label checked, not just present | ☐ | ☐ | ☐ | |
| 5 | Escape routes clear, fire doors not wedged, final exits open first time | ☐ | ☐ | ☐ | |
| 6 | First aid kit — contents complete, in date, burns kit present with FORM_FA_01 beside it | ☐ | ☐ | ☐ | |
| 7 | First aider / EFAW cover in date and the certificate is on file, not just claimed | ☐ | ☐ | ☐ | |
| 8 | Fire marshal cover in date and on file | ☐ | ☐ | ☐ | |
| 9 | DSE assessments — one on file for every workstation in use, including any new starter | ☐ | ☐ | ☐ | |
| 10 | Office COSHH — cleaning products labelled, stored as assessed, assessments reachable | ☐ | ☐ | ☐ | |
| 11 | Records where the system says they are — pick two at random from APP_24 and go and find them | ☐ | ☐ | ☐ | |
| 12 | Yard — alarm audible, housekeeping, spill kit present and unobstructed, oil storage bunded | ☐ | ☐ | ☐ |
Check 11 is the one that catches things. Pick the two before you arrive, not after you have seen what is tidy.
Half two — culture¶
Three questions. Ask them of whoever is in. Write the answer in their words. Work them into the conversation while you walk round rather than reading out a list. There is no score.
1 · Who is the health and safety contact here, and how would you reach them?¶
(answer)
2 · When did a director last attend a toolbox talk or walk a job with you?¶
(answer)
3 · Has anyone here reported a near miss? What happened after they did?¶
(answer)
The question that matters most
Near-miss and close-call reporting has stood at zero for three years. That is an absence of data, not an absence of events.
If the answer to question 3 is "no" or "I don't know", ask why and record what they actually say. Whatever comes back — didn't know how, didn't think it counted, thought it would get someone in trouble, too busy, nothing happens anyway — that answer is the single most valuable line on this sheet. It is the only direct evidence AMWS has on objective H4.
Result¶
| Tick one | |
|---|---|
| 🟢 Compliant — all applicable checks pass | ☐ |
| 🟡 Minor findings — recorded below, to close within 30 days | ☐ |
| 🔴 Major finding — a statutory duty not met or a control absent. Raise in APP_21 | ☐ |
An audit that finds nothing has usually not been done properly. Twelve checks and three conversations in an office will usually find something.
Findings and actions¶
| # | Finding | Grade | Owner | Target date |
|---|---|---|---|---|
| 1 | ||||
| 2 | ||||
| 3 | ||||
| 4 | ||||
| 5 |
Every 🔴 also goes into APP_21. Minor findings are tracked in APP_27 Section 5.
Signatures¶
| Name | Signature | Date | |
|---|---|---|---|
| Auditor | |||
| Director present |
After the audit — three things¶
- Record the cycle in APP_27 Section 4 — date, who, result, findings. A cycle that is not in the register did not run.
- Raise any major finding in APP_21 with an owner and a date.
- Take the reporting answers to APP_22 and to the next management review. They are the evidence behind objective H4 and they are why this audit is worth 45 minutes.
Related documents¶
- APP_27 — HSQE Culture Audit Register — programme, method and cycle register
- FORM_WCC_01 — Weekly Compliance Call — the Clause 5.4 consultation record
- FORM_EVAC_01 — Evacuation Drill Field Sheet
- FORM_FA_01 — Burns: What To Do
- APP_22 — Accident Statistics
- APP_11 — HSQE Objectives & KPIs — objectives B3 and H4